Ross Douglas D, Shpritz Deborah W, Wolfsthal Susan D, Zimrin Ann B, Keay Timothy J, Fang Hong-Bin, Schuetz Carl A, Stapleton Laura M, Weissman David E
Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
J Cancer Educ. 2011 Sep;26(3):436-43. doi: 10.1007/s13187-011-0235-x.
To graduate internal medicine residents with basic competency in palliative care, we employ a two-pronged strategy targeted at both residents and attending physicians as learners. The first prong provides a knowledge foundation using web-based learning programs designed specifically for residents and clinical faculty members. The second prong is assessment of resident competency in key palliative care domains by faculty members using direct observation during clinical rotations. The faculty training program contains Competency Assessment Tools addressing 19 topics distributed amongst four broad palliative care domains designed to assist faculty members in making the clinical competency assessments. Residents are required to complete their web-based training by the end of their internship year; they must demonstrate competency in one skill from each of the four broad palliative care domains prior to graduation. Resident and faculty evaluation of the training programs is favorable. Outcome-based measures are planned to evaluate long-term program effectiveness.
为培养具备姑息治疗基本能力的内科住院医师，我们采用了针对住院医师和主治医生这两类学习者的双管齐下策略。第一管是通过专门为住院医师和临床教员设计的基于网络的学习项目提供知识基础。第二管是教员在临床轮转期间通过直接观察来评估住院医师在关键姑息治疗领域的能力。教员培训项目包含能力评估工具，涉及分布在四个广泛的姑息治疗领域中的19个主题，旨在协助教员进行临床能力评估。住院医师需在实习年结束前完成基于网络的培训；毕业前，他们必须在四个广泛的姑息治疗领域中的每个领域都展示出一项技能的能力。住院医师和教员对培训项目的评价良好。计划采用基于结果的措施来评估该项目的长期效果。
